If a thyroid nodule is shrinking, should surgery be an option? thyroid biopsy was suspicious

Depends: If it was cystic and they biopsied and pulled fluid out then it could decrease in size and still be cancer. Kind of a tricky question but i think rebiopsy might be the best option rather surgery or just following it.

Options: A suspicious nodule must either be rebiopsied in 3-6 months, reultrasounded in 6-12 mo looking for enlargement, or if it is a suspicious follicular lesion then affirma or vericyte analysis of the nodule proteins or possible oncogenes which can point to the nodule as suspicious ( needs removal) or benign which can be watched. Would review with endocrinologist or experiences thyroid surgeon.

Surgery: If the biopsy was suspicious then i would always recommend removal of at least that portion of the gland. There are no short cuts to the answer of whether or not it is a cancer..

Suspicious: Thyroid disease is nothing to fool with. Certain blood tests may have to be done. Even a reducing size may still be worrysome. If confused get a second opinion regarding your thyroid pathology slides.

Options: Are you having compressive symptoms now? Do you feel the nodule/s when you swallow? How big are the nodules? I agree with the recommendation to have another pathologist look at the "suspicious" slides. In any case, you will need to follow the size of the nodules serially to track changes.